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Ratings for Cambridge Health And Rehabilitation Center

Cambridge Health And Rehabilitation Centerwas reviewed by Medicare to have a rating of 3 out of 5. About Medicare Ratings

Overall Rating

Health Inspections Rating

Quality Measures Rating

Staff Rating

RN Staff Rating

Overall Ratings of Texas Nursing Homes

Fines, Complaints, and Inspection Problems in the Past 3 Years

Compare The Number of Problems

Types of Problems at Nursing Homes

Some issues within a nursing home are much more severe than others.
Medicare evaluates each problem based on 2 scales: the number of residents affected by a problem and
the severity of the potential or actual harm to residents based on the problem. We have color coded the matrix below
to make it easier to pick out the more severe problems. In general, orange and red issues related to the treatment of a resident
are considered substandard quality of care.

Residents Affected

Severity of the Deficiency

Few

Some

Many

Immediate jeopardy to resident health or safety

J

K

L

Actual harm that is not immediate jeopardy

G

H

I

No actual harm with potential for more than minimal harm that is not immediate jeopardy

Ensure each resident receives an accurate assessment by a qualified health professional.

E

Some

Potential for Harm

Health Inspection

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

E

Some

Potential for Harm

Health Inspection

Provide care for residents in a way that maintains or improves their dignity and respect in full recognition of their individuality.

E

Some

Potential for Harm

Health Inspection

Keep accurate, complete and organized clinical records on each resident that meet professional standards.

E

Some

Potential for Harm

Complaint+Inspection

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

E

Some

Potential for Harm

Complaint+Inspection

Develop policies and procedures for influenza and pneumococcal immunizations.

E

Some

Potential for Harm

Complaint+Inspection

Develop a post-discharge plan with the resident and family for the resident's care after leaving the nursing home.

E

Some

Potential for Harm

Fire Safety Inspection

Exits that are accessible at all times.

E

Some

Potential for Harm

Fire Safety Inspection

Properly installed hallway dispensers for alcohol-based hand rub.

E

Some

Potential for Harm

Fire Safety Inspection

Properly installed electrical wiring and equipment.

E

Some

Potential for Harm

Fire Safety Inspection

Exits that are free from obstructions and can be used at all times.

E

Some

Potential for Harm

Fire Safety Inspection

Properly located and lighted "Exit" signs.

E

Some

Potential for Harm

Fire Safety Inspection

Automatic sprinkler systems that have been maintained in working order.

E

Some

Potential for Harm

Fire Safety Inspection

Proper medical gas storage and administration areas.

C

Many

Potential for Minimal Harm

Fire Safety Inspection

Record of quarterly fire drills for each shift under varying conditions.

C

Many

Potential for Minimal Harm

Fire Safety Inspection

Properly protected cooking facilities.

C

Many

Potential for Minimal Harm

Fire Safety Inspection

Portable fire extinguishers.

D

Few

Potential for Harm

Complaint+Inspection

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

D

Few

Potential for Harm

Health Inspection

Provide or obtain laboratory services only when ordered by the attending physician.

D

Few

Potential for Harm

Health Inspection

Provide care by qualified persons according to each resident's written plan of care.

January 9, 2014 - 3 years ago

Provide necessary care and services to maintain or improve the highest well being of each resident .

E

Some

Potential for Harm

Health Inspection

Give residents a notice of rights, rules, services and charges.

E

Some

Potential for Harm

Health Inspection

Keep the rate of medication errors (wrong drug, wrong dose, wrong time) to less than 5%.

E

Some

Potential for Harm

Health Inspection

Prepare food that is nutritional, appetizing, tasty, attractive, well-cooked, and at the right temperature.

E

Some

Potential for Harm

Health Inspection

Provide routine and emergency drugs through a licensed pharmacist and only under the general supervision of a licensed nurse.

E

Some

Potential for Harm

Health Inspection

Provide care by qualified persons according to each resident's written plan of care.

E

Some

Potential for Harm

Health Inspection

Ensure the activities program is directed by a qualified professional.

E

Some

Potential for Harm

Health Inspection

Make sure that the nursing home area is safe, easy to use, clean and comfortable for residents, staff and the public.

D

Few

Potential for Harm

Health Inspection

Train all employees on what to do in an emergency, and carry out unannounced staff drills.

D

Few

Potential for Harm

Health Inspection

At least once a month, have a licensed pharmacist review each resident's medication(s) and report any irregularities to the attending doctor.

D

Few

Potential for Harm

Health Inspection

Maintain drug records and properly mark/label drugs and other similar products according to accepted professional standards.

D

Few

Potential for Harm

Health Inspection

Ensure that each resident who enters the nursing home without a catheter is not given a catheter, unless medically necessary, and that incontinent patients receive proper services to prevent urinary tract infections and restore normal bladder functions.

D

Few

Potential for Harm

Health Inspection

Review or revise the resident's care plan after any major change in physical or mental health.

D

Few

Potential for Harm

Health Inspection

Ensure each resident receives an accurate assessment by a qualified health professional.

D

Few

Potential for Harm

Health Inspection

Develop a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.

D

Few

Potential for Harm

Health Inspection

Ensure that a nursing home area is free from accident hazards and provide adequate supervision to prevent avoidable accidents.

Automatic sprinkler systems that have been maintained in working order.

F

Many

Potential for Harm

Fire Safety Inspection

An approved installation, maintenance and testing program for fire alarm systems.

F

Many

Potential for Harm

Fire Safety Inspection

Weekly inspections and monthly testing of generators.

F

Many

Potential for Harm

Fire Safety Inspection

Record of quarterly fire drills for each shift under varying conditions.

E

Some

Potential for Harm

Fire Safety Inspection

Properly protected cooking facilities.

E

Some

Potential for Harm

Fire Safety Inspection

Portable fire extinguishers.

E

Some

Potential for Harm

Fire Safety Inspection

Posted "No-smoking" signs in areas where smoking is not permitted or ashtrays provided where smoking was allowed.

E

Some

Potential for Harm

Fire Safety Inspection

Properly located and lighted "Exit" signs.

D

Few

Potential for Harm

Fire Safety Inspection

Properly installed electrical wiring and equipment.

Staffing Levels Per Resident per Day

Medicare determines the expected staffing time per resident per day depending on level of care the residents of Cambridge Health And Rehabilitation Center require. It is important to compare the reported time to expected time for a single facility instead of comparing the amount of time per resident of two facilities. Learn why.

2hr 10min

2hr 25min

Reported

Expected

CNA

45min

40min

Reported

Expected

LPN

35min

1hr 15min

Reported

Expected

RN

3hr 35min

4hr 20min

Reported

Expected

Total Nursing

This facility also provides approximately 25min per resident per WEEK of physical therapist time.